Provider First Line Business Practice Location Address:
2701 BERNARD ST
Provider Second Line Business Practice Location Address:
APT 71
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-340-1648
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2016